| NPI | 1114252657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 35595) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP6852) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |